Preservation Rhinoplasty

Preservation Rhinoplasty involves elevating the skin sleeve in a unique surgical plane referred to as the subperichondrial-subperiosteal plane, preserving the bridge of the nose (bone and cartilage dorsum), and maintaining the tip (alar) cartilages with minimal excision while achieving the desired shape using sutures. PR comprises three key components.

Traditionally, surgeons elevate the skin sleeve utilizing the sub-SMAS plane, which results in significant postoperative swelling, numbness, prolonged scar remodeling, and induration. On the other hand, PR elevates the soft tissue envelope with a continuous subperiochondrial-subperiosteal dissection resulting in minimal swelling, near-normal sensation, minimal scar remodeling, and avoidance of long-term thinning of the soft tissue envelope.

In most rhinoplasties today, the dorsal hump is resected, creating an “open roof” that requires osteotomies (breaking bones) and cartilage reconstruction. However, dorsal preservation maintains the dorsal hump structures while eliminating the dorsal hump using septal resection, allowing modification of the bridge without destroying its normal anatomy.

Traditionally, surgeons achieved the desired tip shape using a combination of excision, incision, sutures, and grafts. However, PR preserves virtually the entire alar cartilage, enhancing function and reducing potential problems. Additionally, revisions are much simpler, thanks to the combination of a subperichondrial exposure and maintenance of a completely intact alar cartilage and ligament system.

Discover Preservation Rhinoplasty with Dr. Jack Zoumaras

Dr. Jack Zoumaras is a world-trained plastic surgeon in Preservation Rhinoplasty in Australia and the first to use this groundbreaking technique in Sydney. To learn more, request a consultation today.